<%@ page language="java" contentType="text/html; charset=UTF-8"
    pageEncoding="UTF-8"%>
<!DOCTYPE html>
<html>
    <!--  代理商 -->
	<head>
		<meta charset="utf-8">
		<meta name="viewport" content="width=device-width, initial-scale=1,maximum-scale=1, user-scalable=no">
		<title>代理商申请</title>
		 <%@include file="../common/common.jsp"%> 
	</head>
	<body>
		<header>
			<nav class="headerTwo">
				<img src="${ctx }/image/bg.png" alt="" />
				<a href="javascript:history.back(-1)" class="fl"><img src="${ctx }/image/return.png" alt="" /></a>
				<h2>代理商申请</h2>
			</nav>
		</header>
		<div class="addcardTwo"></div>
		<form action="">
		
		<input type="hidden" name="agentGrade" id="agentGrade"/>
		<input type="hidden" name="mId" id="mId">
		<ul class="logg moAdress agentApplication">
			<li class="clearfix">
				<span>公司名称</span>
				<input type="text" placeholder="请输入公司名称" name="companyName" id="companyName" />
				<img src="${ctx }/image/close011.png" alt="" class="imgs fr" />
			</li>
			<li class="clearfix">
				<span>联系人</span>
				<input type="text" placeholder="请输入联系人姓名" name="linkman" id="linkman"/>
				<img src="${ctx }/image/close011.png" alt="" class="imgs fr" />
			</li>
			<li class="clearfix">
				<span>手机号</span>
				<input type="tel" placeholder="请输入手机号" class="phones" name="phone" id="phone"/>
				<img src="${ctx }/image/close011.png" alt="" class="imgs fr" />
			</li>
			<li class="clearfix">
			   <span class="fl">代理商等级</span>
			   <ul class="fl agentApp">
			   	<li>
			   		<span>一级代理</span>
			   		<ul id="agentGradeSelected">
			   			<li>一级代理</li>
					   	<li>二级代理</li>
					   	<li>三级代理</li>	
					   	<li>四级代理</li>
			   		</ul>
			   	</li>
			   	
			   </ul>
			</li>
			<li class="js_uploadBox">
				<span>营业执照</span>
				
				<a href="javascript:void(0)" class="js_showBox "><img  src="${ctx }/image/upload1.png" alt=""  class="pd" id="businessLicence"></a>
				<input type="file" class="js_upFile" name="agentImg" id="agentImg" onchange="setImagePreview()" />
			</li>
		</ul>
		</form>
		<a href="javascript:void(0)" class="btn buttons" >提交申请</a>
		<script type="text/javascript" src="${ctx }/js/public.js"></script>
		<script type="text/javascript" src="${ctx }/js/jquery.uploadView.js"></script>
		<%-- <script type="text/javascript" src="${ctx }/js/upT.js"></script> --%>
		<script type="text/javascript" src="${ctx }/js/ajaxfileupload.js"></script>
		<script type="text/javascript" src="${ctx }/js/member/agentApplication.js"></script>
	</body>

</html>